NCLEX Secrets - Neurology Board Review
6. The client is diagnosed to have hypertension. He is on maintenance dose with captopril (capoten). Which of the following manifestations indicate side effects of the medication?
a) diarrhea, hypoglycemia
b) hyperkalemia, insomnia
c) bruising, bleeding
d) headache, dizziness
7. To provide exercise for a client who had cerebral vascular accident (CVA) with hemiplegia, what should the nurse include in the nursing care plan?
a) provide gentle, smooth range of motion exercises, 5 times for each joint
b) ensure that the arms are always above the shoulders
c) provide passive flexion-extension exercises only on the stronger extremities
d) massage the legs vigorously to improve muscle tone
8. When the nurse observes that the patient has extension and internal rotation of the arms and wrists and extension, plantar flexion and internal rotation of the feet, she records the patient's posturing as (supply the answer) . . .
9. Bell's palsy is a disorder of which cranial nerve?
a) trigeminal (V)
b) acoustic (VIII)
c) facial (VII)
d) vagus (X)
10. A client diagnosed to have Guillain-Barre Syndrome. The client has the following blood gas results: pH is 7.35 and the paCO2 IS 50 mmHg. What acid-base imbalance is the client experiencing?
a) respiratory acidosis
b) respiratory alkalosis
c) metabolic acidosis
d) metabolic alkalosis
NCLEX Secrets - Neurology Board Review:
ANSWERS AND RATIONALE
6) D
- hypotension causes headache and dizziness. Angioedema (swelling of face and hands) may also occur as side effect of capoten.
7) A
- gentle, smooth ROM exercises promote well-being of the client; prevent stiffness of joints, and contractures. Exercises should be done in a manner that prevents increase in ICP.
8) Decerebration
- is abnormal extension. It indicates brainstem function impairment.
9) C
- Bell's palsy is paralysis of the facial nerve (CN VII). It is characterized by asymmetry of the face with ptosis of the eyelid on the affected eye.
10) A
- high paCO2 level in the blood causes respiratory acidosis. In Guillain-Barre Syndrome, there is weakness/paralysis of respiratory muscles. This causes carbon dioxide retention.
Go to the next page ---> NCLEX Secrets - Neurology Board Review (11-15)
Or Go back to NCLEX Secrets - Neurology Board Review (1-5) to start the test from the beginning.
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NCLEX Secrets - Neurology Board Review (6-10)
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